FDA Adverse Event Malfunction Summary report: N

CONTOUR® NEXT

MDR report key: 18247532 · Received December 1, 2023

Report

Report Number
1810909-2023-00255
Event Type
Malfunction
Date Received
December 1, 2023
Date of Event
November 13, 2023
Report Date
March 3, 2025
Manufacturer
ASCENSIA DIABETES CARE US INC.
Product Code
NBW
UDI-DI
05016003733901
PMA / PMN Number
K210687
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE CUSTOMER DID NOT RETURN THE SUSPECTED DEVICE FOR EVALUATION. THEREFORE, AN IN-HOUSE TESTING WAS PERFORMED WITH THE IN-HOUSE CONTOUR NEXT ONE METER AND IN-HOUSE CONTOUR NEXT TEST STRIPS FROM LOT # 2MPEG08A USING BLOOD SAMPLE, WHICH GAVE A SATISFACTORY PERFORMANCE.

Additional Manufacturer Narrative · 0

THE PATIENT/FAMILY (A1) WAS THE INITIAL REPORTER (E1), SO PERSONAL INFORMATION WAS NOT ENTERED. NO INFORMATION WAS CAPTURED IN SECTION A4 AS THE CUSTOMER'S WEIGHT WAS NOT PROVIDED. THE MODEL # (D4) WAS NOT PROVIDED.

Additional Manufacturer Narrative · 0

UDI RELATED DATA QUALITY UPDATES ONLY: SECTIONS D1 (BRAND NAME), D4 (MODEL #, CATALOG # AND UDI #) AND G4 (510K #) HAVE BEEN UPDATED. CONTOUR® NEXT TEST STRIPS WITH SKU # 7339, 510K # K210687 AND UDI # (B)(4) WAS DISTRIBUTED OUTSIDE THE US, THEREFORE, NO GUDID INFORMATION EXISTS.

Description of Event or Problem · 0

THE CUSTOMER FROM UNITED KINGDOM REPORTED THAT WITHIN 5 MINUTES SHE OBTAINED BLOOD GLUCOSE READINGS OF 31.7 MMOL/L, 7.4 MMOL/L, 11.7 MMOL/L, 17.5 MMOL/L, AND 8.1 MMOL/L WITH THE CONTOUR NEXT ONE METER. THERE WAS NO ALLEGATION OF AN ADVERSE EVENT. THE CUSTOMER WAS ADVISED TO RETURN THE DEVICE FOR EVALUATION. A REPLACEMENT METER KIT WAS SENT TO THE CUSTOMER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1540213 CONTOUR® NEXT BLOOD GLUCOSE TEST STRIPS NBW ASCENSIA DIABETES CARE US INC. 7339 2MPEG08A 05016003733901

Patients

Seq Age Sex Outcome Treatment
1 60 YR Female